Creekside, INC
NPI #1225546948 in Grundy Center, Iowa
Provider Information
- NPI Number
- 1225546948
- Entity Type
- Organization
- Organization Name
- Creekside, INC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jan 16, 2018
- Last Updated
- Jul 5, 2023
Practice Location
- Address
- 503 WICAL WAY
- City
- Grundy Center
- State
- Iowa
- ZIP Code
- 50638-0000
- Phone
- (319) 824-3212
Authorized Official
- Name
- MR. KRIS W HANSEN
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (319) 277-2141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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| Premier Estates 504, LLC | |
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| County of Dubuque | |
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